Tag Archives: EMS 12-Lead

65 year old male CC: Fall with injury – Conclusion

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This is the conclusion to 65 year old male CC: Fall with injury. You may wish to review the history and clinical presentation. When we left off the patient was in severe heart failure with the following 12-lead ECG. As we have mentioned before on several occasions, the most important thing when treating a patient […]

65 year old male CC: Fall with injury

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Here's a very interesting case submitted by a faithful reader who wishes to remain anonymous. Some changes have been made to preserve patient confidentiality. EMS is called to a local breakfast restaurant for a 65 year old male who fell in the parking lot. He was reported to have suffered a head injury. On arrival […]

56 year old female CC: Short of Breath – Conclusion

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This is the conclusion to 56 year old female CC: Short of Breath. Be sure to check out the first post for the full story! When we left our crew they were just getting ready to leave the parking garage with a 56 year old female who was short of breath and dizzy after mild […]

56 year old female CC: Short of Breath

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Many thanks to an anonymous reader who submitted this great case! As always, some details have been changed to protect provider and patient privacy. You're dispatched to the parking garage of a busy shopping mall for a 56 year old female whom a 3rd party caller relates is, "short of breath". Upon your arrival you […]

Comparing 12-Leads: Discussion

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This is the discussion for Comparing 12-Leads: Common Error or Common Disease? All of our readers were on the right track, and many were spot on! Sometimes, troubleshooting an ECG is more than just lead placement. In this case report, we had three 12-Lead ECG's, all featuring a similar pattern: inappropriate R-wave progression. Initially, when […]

69 year old female CC: Shortness of breath, weakness

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Here's a case submitted by a faithful reader who wishes to remain anonymous. He has submitted several cases before and they are always excellent so thank you, Mr. Anonymous!  EMS is called to the residence of a 69 year old female who is complaining of sudden onset of shortness of breath and weakness. Past medical […]

88 year old male CC: Chest pain

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EMS is called to a 88 year old male with a chief complaint of chest discomfort. On arrival the patient meets EMS at the front door. His skin is slightly pale and moist. He appears anxious. Past medical history: "Cardiac", pacemaker, hypertension, dyslipidemia Medications: Numerous, unavailable at the time of EMS evaluation Paramedics lead the […]

64 year old female CC: Trouble Breathing

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Thanks go to Michael Herbert for this great case! As always, some details have been changed to protect patient privacy. It’s late into your shift when the tones go off for breathing problems at a local extended care facility.¬†Enroute you’re advised it is a 64 year old female with a “low O2 sat,” and to, […]

18 year old male: Structure Fire Rehab – Conclusion

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Apologies for the delay, your author has been working nights and on the road traveling! We now return you to your regularly scheduled program. This is the conclusion to 18 year old male: Structure Fire Rehab. When we left off, we had a young firefighter in our rehab area with an elevated heart rate and […]

90 year old male CC: "Possible stroke" – Conclusion

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This is the conclusion to 90 year old male CC: "Possible stroke". You might want to go back and familiarize yourself with the details of the case. Let's take another look at the 12-lead ECG. Now with the computerized interpretive algorithm. On Facebook I had asked whether or not this ECG showed signs of ischemia. […]

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